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Proficiency Testing - From Concept to Reality: The Caribbean Experience. Ms. Lisa Barrow-Boisson, Ms. Valerie Wilson , Caribbean Epidemiology Centre (CAREC/PAHO/WHO). The Organisation - CAREC. Major Function: Improving the health status of Caribbean people by advancing their capability in:

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proficiency testing from concept to reality the caribbean experience

Proficiency Testing - From Concept to Reality:The Caribbean Experience

Ms. Lisa Barrow-Boisson,

Ms. Valerie Wilson,

Caribbean Epidemiology Centre (CAREC/PAHO/WHO)

the organisation carec
The Organisation - CAREC

Major Function:

Improving the health status of Caribbean people by advancing their capability in:

- Epidemiology

- Laboratory Technology

- Related Public Health disciplines

pt management overview of presentation
PT Management –Overview of Presentation
  • Program Description
  • Distribution Patterns
  • Specimen Management
  • Process Management – A Pilot Study
  • Information Management
pt management overview of presentation5
PT Management –Overview of Presentation
  • Financial Management
  • Challenges
  • A QA Perspective
  • Benefits
  • Lessons Learnt/Conclusion
pt program description
PT Program Description
  • A Multi-level approach to PT Management exists at CAREC

Level 1 -

Panels are prepared and managed exclusively by CAREC personnel.

pt program description7
PT Program Description

Level 2 -

Panels are obtained from external providers who also provide us with an analysis of the results.

pt program description8
PT Program Description

Level 3 -

Panels are obtained from external providers for laboratory disciplines not included in our scope of work - analysis of results not forwarded to CAREC.

pt distribution pattern
PT –Distribution Pattern

Recipient laboratories:

  • Clinical
  • Public Health
  • Private
  • Blood Screening

units

pt process management a pilot study13
PT – Process Management-A Pilot Study
  • Level of Laboratory determination was conducted to guide composition of PT panels.
  • Determination was made via a self-administered questionnaire.
pt process management a pilot study14
PT – Process Management-A Pilot Study
  • Data was gathered in the following areas of operation:

- Microscopy

- Specimen type handled

- Identification

- Anti-microbial susceptibility testing

pt process management a pilot study15
PT – Process Management-A Pilot Study
  • Laboratories were determined to be:

- Level 1, 2 or 3 (based on the complexity of their operations).

pt information management
PT-Information Management

The establishment of an Information Management System is essential to support any PT program.

pt information management17
PT-Information Management

Data elements to consider:

  • Interest levels of laboratories
  • Participation levels
  • Performance rates
  • Shipping details
  • Troubleshooting initiatives
  • Program Cost
  • Participant feedback
pt information management18
PT-Information Management

Examples of Information gathering and monitoring tools:

  • Time Tracker
  • Letter of commitment
  • Telephone Records
  • Mailing list
  • PT Specimen Log
  • CQI Form
pt information management the paper trail
PT-Information Management –The paper trail

External PT

Administrator

Courier

CAREC

Mail

Mail

PT Participants-

Laboratory

Director

KEY:

Level 1 distribution

Level 2 distribution

Level 3 distribution

pt what are the costs
PT- What are the costs ?

Cost Considerations:

  • Labour - document and package preparation
  • Shipping - courier, airline and brokerage fees
  • Telecommunication - telephone, fax, e-mail
  • Other - laboratory facility

- materials

pt how do we meet the costs
PT-How do we meet the costs ?
  • Core funds (member country quota contributions)
  • Grant funds
  • Support from PAHO/WHO
  • Cost recovery to be introduced
pt operational challenges
PT – Operational Challenges
  • Shipment of Infectious shipments in compliance with IATA regulations
  • Availability of resources
  • Encouraging participation in the absence of legislation
  • Accessing PT material
pt benefits of participation
PT-Benefits of participation
  • Laboratory performance has improved.
  • Some programs provide feedback which includes guidance for remedial action.
  • Facilitation of interventions based on participant performance.
pt lessons learnt conclusion
PT-Lessons Learnt/Conclusion

In the Caribbean, good PT management requires:

  • Extensive follow-up with participants to identify Quality Assurance issues.
  • Encouraging participants to process PT material as routine specimens.
pt lessons learnt conclusion27
PT-Lessons Learnt/Conclusion

In the Caribbean, good PT management requires:

  • Introduction and enforcement of legislation.
  • Continuing IATA DGR training.
pt lessons learnt conclusion28
PT-Lessons Learnt/Conclusion

In the Caribbean, good PT management requires:

  • Continued negotiations with air transport agencies and regional governments to facilitate resolution of shipping issues.
  • Commitment by participant laboratories.
thank you feedback and questions
THANK YOU

FEEDBACK AND QUESTIONS

PT MANAGEMENT